Edward Clark is a Clinical in Raeford, North Carolina. Edward Clark practices all healthcare services and medical treatments related to Clinical. The NPI Number for Edward Clark is 1235146697. The last update date is 2008-03-25.
Edward Clark's current location address is 121 E Elwood Ave, Raeford, North Carolina. You can contact this provider via phone number 9108758156 and fax number 9108755579. The mailing address for Edward Clark is 121 E Elwood Ave, Raeford, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward Clark |
|---|---|
| Address | 121 E Elwood Ave, Raeford, North Carolina |
| Phone Number | 9108758156 |
| Fax Number | 9108755579 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1235146697 |
|---|---|
| Provider Enumeration Date | 2006-08-01 |
| Last Updated Date | 2008-03-25 |
Provider Mailing Address Detail
| Address | 121 E Elwood Ave |
|---|---|
| City | Raeford |
| State | North Carolina (NC) |
| Post Code | 283762947 |
| Phone Number | 9108758156 |
| Fax Number | 9108755579 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C000989 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6003566 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Edward Clark by the Centers for Medicare & Medicaid Services?
The Edward Clark has been assigned the NPI (National Provider Identifier) 1235146697. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Edward Clark's facilities are geographically located?
The facilities of Edward Clark are physically situated at the following location: 121 E Elwood Ave, Raeford, NC, 283762947.
What is Edward Clark's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Edward Clark's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 1041C0700X.
When did Edward Clark receive its 1235146697 assignment?
The Edward Clark was assigned its 1235146697 on 2006-08-01, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Edward Clark most recently updated or revised?
The information pertaining to Edward Clark, including its address, specialty, and other relevant details, was last updated or revised on 2008-03-25.